Hematuria is the presence of blood in the urine, which sometimes is a symptom of urinary tract disease. Careful evaluation of children with hematuria is important for early diagnosis and treatment of kidney problems. It can result from bleeding in any of the many parts of the urinary system (kidneys, ureters, bladder or urethra).
There are two main types of hematuria:
The most common cause of hematuria in children is familial hematuria. Familial hematuria is a condition in which many members of the same family experience blood in the urine without any other apparent problems in the kidneys or urinary system.
Other activities or conditions that can cause hematuria include:
Menstruation and by-products of certain foods and medicines can sometimes be mistaken for hematuria.
If your child is experiencing blood in his or her urine, it is important that your child’s doctor evaluate it to determine what is causing the presence of blood. First, your pediatrician will gather a complete medical history for your child. Then, he or she will complete a thorough physical examination. This information will help your pediatrician decide which diagnostic tests should be performed to help make a diagnosis. These tests may include some or all of the following:
Hematuria itself has no specific treatment; instead, your child’s doctor will determine the underlying cause of the blood and then treat that condition. Your child’s doctor will determine the appropriate course of treatment for your child’s hematuria, based on the many factors, which may include some or all of the following:
If your child has experienced visible blood in his or her urine for longer than a day, contact your pediatrician immediately, especially if your child also has unexplained weight loss, discomfort while urinating, frequent urination or urgent urination.
Visit these trusted websites to learn more about caring for a child with hematuria.
Riley at IU Health offers a broad range of supportive services to make life better for families who choose us for their children's care.
As the official foundation of the American Urological Association, this organization supports research, provides news and promotes outreach for a wide variety of urological conditions, including hematuria.
This nonprofit organization is dedicated to helping people living with kidney and urologic conditions. It provides information about hematuria on its website.